RESUMO

Heavy-duty mining trucks are essential for open-pit mining and are significant energy consumers, stressing the need for the mining industry to improve the fuel economy of mining trucks. However, there is a limited discussion on this topic in the specialized literature, mainly focusing on light-duty vehicles. This article discusses the energy and exergy balances of heavy-duty mining trucks operating in an open pit mine in Colombia. Results show saving opportunities by either using batteries or producing hydrogen with the power from regenerative brakes, reducing heat losses in the engine, recovering heat losses with combustion gases using thermoelectric generators, and replacing mechanical pumps with electrical pumps. The assessment shows that reducing engine heat losses by coating the cylinder, cylinder head, and piston crown can reduce fuel consumption between 1.8 % and 9.1 %. Moreover, the production of hydrogen, while economically feasible, needs to assess the implementation of electrolyzers in mining trucks. Other measures are not economically viable. Using batteries, which requires adding 12 t of weight to the truck, reduces truck productivity. Finally, using thermoelectric generators and replacing mechanical pumps shows marginal opportunities to reduce fuel consumption.

RESUMO

El control neurológico de la tos o la neurofisiología de la tos, implica una serie de eventos complejos en el sistema nervioso que coordinan y desencadenan este reflejo protector pulmonar. Esta intrincada red de señales nerviosas y coordinación muscular se origina en los receptores de la tos, pasa por el centro de la tos en el bulbo raquídeo y finalmente activa los músculos necesarios para la adecuada eliminación del agente irritante. Este mecanismo involucra, la detección del estímulo por receptores especializados, transducción de señales que viajan a lo largo de fibras nerviosas aferentes hacia el sistema nervioso central, centro integrador a nivel del bulbo raquídeo, en el centro de la tos es donde se procesa las señales de los receptores y se coordina la respuesta. La integración de las señales y la respuesta radica en este centro de la tos y en la corteza cerebral quien regula y modula la tos. El control neuronal cortical de la tos implica la participación consciente y voluntaria de la corteza cerebral en la percepción, regulación y adaptación de la tos. La coordinación muscular requiere que la señal viaje por vías nerviosas eferentes motoras hacia los músculos involucrados, la contracción muscular se integra en una secuencia específica que desencadena las fases de la tos, inspiración máxima, compresión y expulsiva.

The neurological control of cough, or the neurophysiology of cough, involves a series of complex events in the nervous system that coordinate and trigger this lung protective reflex. This intricate network of nerve signals and muscle coordination originates from the cough receptors, passes through the cough center in the medulla oblongata, and finally activates the muscles necessary for proper elimination of the irritant. This mechanism involves the detection of the stimulus by specialized receptors, transduction of signals that travel along afferent nerve fibers towards the central nervous system, integrating center at the level of the medulla oblongata, in the cough center is where the signals are processed. receptors and the response is coordinated. The integration of signals and response resides in this cough center and in the cerebral cortex, which regulates and modulates coughing. Cortical neural control of cough involves the conscious and voluntary participation of the cerebral cortex in the perception, regulation, and adaptation of cough. Muscle coordination requires that the signal travel through efferent motor nerve pathways to the muscles involved; muscle contraction is integrated into a specific sequence that triggers the cough, maximum inspiration, compression, and expulsive phases.

RESUMO

Objective: Quantify and categorize by sex, age, and time spent on mechanical ventilation (MV), the decline in skeletal muscle mass, strength and mobility in critically ill patients infected with SARS-CoV-2 and requiring mechanical ventilation while at intensive care unit (ICU). Design: Prospective observational study including participants recruited between June 2020 and February 2021 at Hospital Clínico Herminda Martin (HCHM), Chillán, Chile. The thickness of the quadriceps muscle was evaluated by ultrasonography (US) at intensive care unit admission and awakening. Muscle strength and mobility were assessed, respectively, through the Medical Research Council Sum Score (MRC-SS) and the Functional Status Score for the Intensive Care Unit Scale (FSS-ICU) both at awakening and at ICU discharge. Results were categorized by sex (female or male), age (<60 years old or ≥60 years old) and time spent on MV (≤10 days or >10 days). Setting: Intensive care unit in a public hospital. Participants: 132 participants aged 18 years old or above (women n = 49, 60 ± 13 years; men n = 85, 59 ± 12 years) admitted to intensive care unit with a confirmed diagnosis of severe SARS-CoV-2 and requiring MV for more than 48 h were included in the study. Patients with previous physical and or cognitive disorders were excluded. Interventions: Not applicable. Results: Muscle thickness have significantly decreased during intensive care unit stay, vastus intermedius (-11%; p = 0.025), rectus femoris (-20%; p < 0.001) and total quadriceps (-16%; p < 0.001). Muscle strength and mobility were improved at intensive care unit discharge when compared with measurements at awakening in intensive care unit (time effect, p < 0.001). Patients ≥60 years old or on MV for >10 days presented greater muscle loss, alongside with lower muscle strength and mobility. Conclusion: Critically ill patients infected with SARS-CoV-2 and requiring MV presented decreased muscle mass, strength, and mobility during their intensive care unit stay. Factors associated with muscle mass, such as age >60 years and >10 days of MV, exacerbated the critical condition and impaired recovery.

RESUMO

OBJECTIVE: To evaluate learning results of critical care physiotherapists participating in a muscle ultrasound (MUS) educational program. DESIGN: Cross-sectional study. SETTING: A custom-made 20-hour MUS course was performed over a 2-week time period, including knobs familiarization, patient positioning, anatomic landmarks, image acquisition, and limb muscle measurements. PARTICIPANTS: Nineteen critical care physiotherapists with little to no prior experience in ultrasound (N=19). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Theoretical knowledge, hands-on skills acquisition, and satisfaction were assessed. Inter- and intrarater reliability on landmarks, thickness, and pennation angle of quadriceps between participants was evaluated using intraclass correlation coefficients (ICCs). Reliability among instructors measured prior to the course was also reported as a reference. RESULTS: The percentage score (mean±SD) of knowledge questionnaires was 69±11 (pre-course), 89±10 (post-course), and 92±9 (hands-on skills). Course satisfaction scores ranged from 90%-100%. Pooled interrater reliability of participants (median ICC [interquartile range]) was good (0.70 [0.59-0.79]) for thickness, moderate (0.47 [0.46-0.92]) for landmarks, and absent (0.00 [0.00-0.05]) for pennation angle and the intrarater reliability was good (0.76 [0.51-0.91]) for thickness and weak (0.35 [0.29-0.52]) for pennation angle. Interrater ICC values for instructors were excellent (0.90) for thickness, good (0.67) for landmarks, and moderate (0.41) for pennation angle and intrarater ICC values were excellent (0.94) for thickness and good (0.75) for pennation angle. CONCLUSIONS: Although our sample was quite small and homogeneous, increased theoretical knowledge, high hands-on performance acquisition, and good satisfaction of physiotherapists were observed. Reliability was moderate to excellent for thickness and landmarks and absent to weak for pennation angle. Landmarking and pennation angle remain challenges for physiotherapist training in the application of MUS. Further studies are needed to identify variables that could modify reliability during MUS training.

RESUMO

Power generation with thermoelectric devices in internal combustion engines is an alternative to recover some of the energy loss with the exhausts. This data article supports a study that assesses the potentialities of energy recovery with thermoelectric generators in diesel engines and its influence on gaseous emissions. To this end, a set of experiments was developed with a thermoelectric generator and a waffle heat exchanger. The experimental design included nine operation points of the engine to characterize the energy recovery of the thermoelectric generator under different exploitation conditions. Three different fuels (i.e., diesel, B5, and B10) were used. The experiments were developed in a test bench with three data acquisition systems to measure the operational variables (e.g., electric power generation, pressure drop, temperature, etc.). Moreover, a gas analyzer (BrainBee AGS-688), Bacharach gas analyzer (PCA 400), and a smoke meter (BrainBee OPA-100) were used to measure exhaust emissions.

RESUMO

The data included in this study was calculated based on data provided by the national project registry provided by the Colombian government. The data forecasts the evolution of the power generation capacity registered in non-conventional renewable energy source projects in three scenarios of implementation of the power generation capacity registered in the projects. Results can be used to benchmark non-conventional renewable energy sources in Colombia, interpret the effectiveness of renewable policies, and monitor the evolution of non-conventional renewable-based power generation. The data presented in the article relates to the research study: A look to the electricity generation from non-conventional renewable energy sources in Colombia [1].

RESUMO

Improving and managing the electricity efficiency in hotel facilities is essential to reduce the hotel operation costs and its environmental impacts. The data presented shows the evolution of the electricity consumption and management between 2013 and 2015 in two hotel facilities in Cuba (one beach hotel and one city hotel). The data additionally includes the daily measures used to develop control tools for an energy management system. The data presented in the article relates to the research study: Tools to improve forecasting and control of the electricity consumption in hotels Cabello et al., 2016, and it corresponds to the energy audits developed in one beach hotel (Hotel A) and one city hotel (Hotel B) in Cuba.

RESUMO

Assessing the biomass based electricity potential of developing nations like Cuba can help to reduce the fossil fuels dependency and the greenhouse gas emissions. The data included in this study present the evolution of electricity production and greenhouse gas emissions in Cuba. Additionally, the potentialities to produce biomass based electricity by using the most significant biomass sources in Cuba are estimated. Furthermore, estimations of the potential reductions of greenhouse gas emissions, resulting from implementing the biomass based electricity potential of the different sources discussed in the study, are included. Results point to the most promising biomass sources for electricity generation and their potential to reduce GHG emissions.

RESUMO

Se presenta un caso poco frecuente de un hematoma subcapsular hepático roto en el curso de un síndrome de HELLP, en una paciente como complicación de la preeclampsia que resultó en una mortalidad materna. Se realizó, además, una revisión de la literatura(AU)

We report a rare case of a ruptured hepatic subcapsular hematoma in the course of in a patient with HELLP syndrome as a complication of preeclampsia resulting in maternal mortality. A review of the literature was also carried out(AU)

Assuntos

RESUMO

Introducción: la mortalidad materna es un término estadístico que describe la muerte de una mujer durante o poco después de un embarazo. Objetivo: caracterizar la mortalidad materna en la provincia de Villa Clara (2001 - 2015). Métodos: se presentan los resultados de una serie de quince años de estudio de la mortalidad materna en Villa Clara, Cuba en un estudio observacional, descriptivo, retrospectivo de las muertes maternas ocurridas desde enero del 2001 hasta 2015 en el territorio. Resultados: la distribución de las muertes maternas en la provincia ha sido proporcional. Es destacable que en los años 2004 y 2010 no se hayan registrado. En el resto de los años, el comportamiento osciló entre uno y cinco casos anuales. En el período, el total de muertes maternas en el territorio resultó en 34 en relación con las 788 reportadas en todo el país. Entre las causas de mortalidad materna predominan las relacionadas con eventos hemorrágicos en 9 casos, seguidas de la enfermedad tromboembólica con 5 defunciones y las cardiopatías al igual que el embolismo de líquido amniótico con 4 casos. Se reportan diferentes causas infrecuentes en el periodo de estudio con un caso cada una. Conclusiones: se concluye que en el periodo en estudio se ha mantenido una estabilidad en la incidencia de muertes maternas en el territorio con excepción de dos años donde no se reportaron. Las causas fundamentales coinciden con la hemorragia y la enfermedad tromboembolica seguidas de otras afecciones(AU)

Introduction: Maternal mortality is a statistical term that describes the death of a woman during or shortly after a pregnancy. Objective: Characterize maternal mortality in the province of Villa Clara (2001 - 2015). Methods: The results of a fifteen - year study of maternal mortality in Villa Clara, Cuba, are presented in an observational, descriptive, retrospective study of maternal deaths from January 2001 to 2015. Results: The distribution of maternal deaths in the province has been proportional. It is remarkable that no mortality was registered in 2004 and 2010. In the rest of the years, the behavior oscillated between one and five cases per year. In the period, the total of maternal deaths in the territory resulted in 34 in relation to the 788 reported throughout the country. Among the causes of maternal mortality are those related to hemorrhagic events in 9 cases, followed by thromboembolic disease with 5 deaths and heart disease, as well as amniotic fluid embolism with 4 cases. Different infrequent causes are reported in the study period with one case each. Conclusions: In the period under study, there has been a stability in the incidence of maternal deaths in the territory with the exception of two years when no mortality was registered. The underlying causes coincide with bleeding and thromboembolic disease followed by other conditions(AU)

Assuntos

RESUMO

Introducción: la preeclampsia representa un riesgo para la madre y el producto de la concepción. Objetivos: Describir los resultados de la atención a la gestante con preeclampsia grave en Villa Clara durante los años 2009 y 2010. Métodos: estudio descriptivo de corte transversal en 238 gestantes que ingresaron en la sala de Cuidados Especiales Perinatales del Hospital Universitario Ginecoobstétrico “Mariana Grajales” con diagnóstico de preeclampsia grave en el período de enero del 2009 a diciembre del 2010. Resultados: entre los 20 y 35 años, se diagnosticaron con preeclampsia grave 109 mujeres (71,0 %). La media de edad fue de 27,3 años y predominó la nuliparidad (60,51 %). El 47,90 % de las gestantes tuvieron su parto antes de las 37 semanas de embarazo, y el 43,27 % tuvieron recién nacidos con peso inferior a los 2 500 g; de ellos, 15 pesaron menos de 1 000 gramos (6,30 %). Predominó la ausencia de complicaciones maternas y perinatales. Las principales complicaciones maternas resultaron la hipertensión persistente en el puerperio (13,02 %) y el hematoma retroplacentario (9,24 %); entre las complicaciones neonatales, se describen el bajo peso al nacer en el 43,27 %, las hipocalcemias en el 17,64 % y la sepsis en el 8,40 %. En el período de estudio, no se informaron muertes maternas en la provincia. Conclusiones: la atención a la preeclampsia grave resultó en un mínimo de complicaciones maternas y perinatales y fue un factor decisivo para preservar la vida de las madres con este padecimiento.

Introduction: preeclampsia represents a risk for the mother and for the product of the conception. Objectives: To describe the results of the expectant women´s care with severe preeclampsia in Villa Clara during 2009 and 2010 years. Methods: a descriptive study of transversal type was carried out in 238 expectant women admitted at the special perinatal care´s ward of the Gynecological and Obstetric University Hospital “Mariana Grajales”, who were diagnosed with severe preeclampsia between January, 2009 and December, 2010. Results: a number of 109 women (71,0 %), between 20 and 35 years old were diagnosed with severe preeclampsia. The average age was of 27, 3 years and nulliparity predominated (60,51 %). The 47,90 % of expectant women gave birth before the 37 weeks of pregnancy and the 43,27 % had newly born with a weight inferior to 2500 g; 15 of them weight less than 1000 grams (6,30 %).The were no considerable maternal and perinatal complications. The main maternal complications were persistent hypertension during puerperium (13,02 %) and retroplacental hematoma (9,24 %); as well as, main neonatal complications were low birth weight in 43,27 %, hypocalcaemia in 17,64 % and sepsis in 8,40 %. During this period there were not reported maternal deaths in the province. Conclusions: severe preeclampsia care resulted in a minimum of maternal and perinatal complications and it was an important factor for the preservation of mother´s life with this suffering.

Assuntos

RESUMO

Introducción:en la consulta de Riesgo de preeclampsia-eclampsia se realiza el diagnóstico precoz de formas graves y tempranas de preeclampsia. Objetivos: demostrar los resultados de la atención a gestantes con riesgo de preeclampsia eclampsia. Métodos: estudio descriptivo de corte transversal en el municipio de Santa Clara, provincia Villa Clara, en el año 2010. La muestra se conformó con 181 gestantes a las que se les aplicó una encuesta que incluyen los factores de riesgo, se diseñaron estrategias de seguimiento y diagnóstico precoz de formas graves e incipientes de la preeclampsia. Resultados: las edades extremas resultaron el 58,01 porciento del total, con 105 mujeres a predominio del subgrupo de la avanzada edad materna 69 (38,12 porciento)...

Introduction: early diagnosis of serious and early forms of pre-eclampsia is made in the consultation for pre-eclampsia eclampsia. Objectives: to show the results in the care of pregnant women at pre-eclampsia eclampsia risk. Methods: a cross sectional study in the municipality of Santa Clara, Villa Clara during 2010. The sample consisted of 181 pregnant women to whom they were given a survey including risk factors; strategies were designed for monitoring and early diagnosis of serious and emerging forms of preeclampsia. Results: the extreme ages were 58.01 percent out of the total, 105 women with a predominance of the subgroup of advanced maternal age 69 (38.12 percent)...

Assuntos

RESUMO

Entre los factores de riesgo de preeclampsia eclampsia se incluye el riesgo cardiovascular y del síndrome metabólico. Objetivos: identificar factores de riesgo cardiovascular y del síndrome metabólico en una población de gestantes con riesgo de preeclampsia eclampsia. Método: estudio descriptivo de corte transversal en el Municipio de Santa Clara, Villa Clara, en el año 2011. La muestra se conformó con 181 gestantes con al menos dos factores de riesgo...

Assuntos

RESUMO

Introducción: la histerectomía obstétrica se define como la extirpación del útero después de un evento obstétrico, opción terapéutica vinculada con estados de morbilidad obstétrica extremadamente grave. Objetivo: determinar características obstétricas y generales en una población de pacientes con morbilidad obstétrica extremadamente grave a las cuales se les realizó histerectomía obstétrica. Métodos: estudio descriptivo de corte transversal, realizado desde enero del 2007 a diciembre del 2009, en el Hospital Ginecobstétrico Mariana Grajales de Santa Clara, Villa Clara. Se revisaron los expedientes de 71 pacientes a quienes se hizo histerectomía obstétrica. Se calculó la incidencia y se identificaron las características clínicas y obstétricas, la relación con el tipo de parto y los principales hallazgos anatomopatológicos asociados a la histerectomía obstétrica. Resultados: se realizó una histerectomía obstétrica cada 463 partos. El promedio de edad de las pacientes fue de 33,8 + 6,78 años. El 78,6 por ciento tenía antecedentes de cesárea. Predominó la histerectomía total abdominal en el 63,3 por ciento de la muestra y en 27 pacientes se realizaron ligaduras de las arterias hipogástricas, 38 por ciento. Se requirió el ingreso en la terapia intensiva en un 69 por ciento de las pacientes histerectomizadas. No se reportaron muertes maternas vinculadas con las histerectomías obstétricas en estos tres años en la provincia. Conclusiones: la histerectomía obstétrica es una opción terapéutica asociada a la morbilidad obstétrica extremadamente grave, donde el accionar oportuno, con dominio técnico y cumpliendo las indicaciones pertinentes se convierte en una herramienta que garantiza la vida de muchas pacientes en momentos críticos

Introduction: the obstetric hysterectomy is defined as the removal of uterus after an obstetric event, therapeutic option linked to stages of extremely severe obstetric morbidity. Objective: to determine the obstetric and general features in a group of patients presenting with an extremely severe obstetric morbidity underwent to obstetric hysterectomy. Methods: a cross-sectional and descriptive study was conducted from January, 2007 to December, 2009 in the Mariana Grajales Gynecology and Obstetrics Hospital of Santa Clara, Villa Clara province. The medical records of l71 patients were reviewed who underwent obstetric hysterectomy. Incidence was estimated identifying the clinical and obstetric features, the relation with the type of labor and the main anatomical-pathological findings associated with obstetric hysterectomy. Results: an obstetric hysterectomy was performed by 463 labors. The mean age of patients was of 33.8 ± 6.78 years. The 78.6 percent had a history of cesarean section. There was predominance of abdominal total hysterectomy in the 63.3 percent of the sample and in 27 patients ligatures of hypogastric arteries were performed (38 percent). It was necessary the admission in intensive therapy service of the 69 percent of hysterectomy patients during this past year in the province. Conclusions: the obstetric hysterectomy is a therapeutic option associated with the extremely severe obstetric morbidity, where a timely action, a technical mastery and fulfilling the pertinent indications, it become a tool to guarantee the life of many patients in critical situations

Assuntos

RESUMO

Introducción: la preeclampsia representa un riesgo para la madre y el producto de la concepción. Objetivos: describir los resultados del manejo de la preeclampsia con signos de agravamiento en Villa Clara durante los años 2009 y 2010. Material y método: estudio descriptivo de corte transversal en 238 gestantes que ingresaron en la sala de Cuidados Especiales Perinatales del Hospital Gineco-Obstétrico "Mariana Grajales" con diagnóstico de preeclampsia grave en el período de enero del 2009 a diciembre del 2010. Se utilizaron estadígrafos como el porcentaje, la medida y la desviación estándar...

Assuntos

RESUMO

INTRODUCCIËN: Los trastornos hipertensivos durante el embarazo son muy frecuentes y ocurren en más del 10 por ciento de todas las gestaciones a término. OBJETIVO: Determinar los factores de riesgos en este grupo de pacientes que permitan establecer estrategias de trabajo diferenciadas en pro del bienestar materno fetal. MÉTODOS: Se realizó un estudio descriptivo, de corte transversal, en 30 gestantes con riesgo de preeclampsia/eclampsia que acuden a la consulta municipal de atención al riesgo de preeclampsia/eclampsia en la ciudad de Santa Clara, Villa Clara, en el periodo comprendido entre septiembre de 2009 a enero de 2010. RESULTADOS: La mayoría de las pacientes fueron nulíparas (70 por ciento), con malnutrición por exceso (80 por ciento) y en edades extremas (56,6 por ciento) con predominio de la avanzada edad materna (33,3 por ciento), se encontró un gran porcentaje de gestantes con riesgo de síndrome metabólico. Se proponen estrategias de atención con enfoque de riesgo a estas gestantes en la atención prenatal. CONCLUSIONES: La nuliparidad, las cifras de glicemia elevadas en la captación del embarazo y la malnutrición por exceso fueron algunos de los factores de predicción más frecuentemente encontrados para la preeclampsia/eclampsia en el grupo estudiado.

INTRODUCTION: The hypertensive disorders during pregnancy are very frequent and occur in more then the 10 percent of all term pregnancies. OBJECTIVE: To determine the risk factors in this group of patients to allow establishing differential working strategies for the social maternal wellbeing. METHODS: A cross-sectional and descriptive study was conducted in 30 pregnant women with risk of pre-eclampsia/eclampsia in the Santa Clara city, Villa Clara province from September, 2009 to January, 2010. RESULTS: Most of patients were nulliparous (70 percent), with excessive malnutrition (80 percent) and in extreme ages (56.6 percent) with predominance of maternal old age (33.3 percent), as well as a high percentage of pregnants with metabolic syndrome risk. Authors propose care strategies approaching the risk of these patients during the prenatal care. CONCLUSIONS: Nulliparity, figures of a high level glycemia during the pregnancy screening and the excessive malnutrition were some the more frequent prediction factors for the pre-eclampsia/eclampsia in the study group.

Assuntos

RESUMO

La repercusión de la diabetes mellitus en los resultados perinatales depende en gran medida del control metabólico alcanzado, para lo cual se han ideado numerosos protocolos de tratamiento, que unidos a las buenas prácticas clínicas logran resultados de calidad en el binomio madre hijo. Objetivo: Caracterizar la influencia de la diabetes sobre los resultados obstétricos y perinatales en el Hospital universitario Gineco-Obstétrico "Mariana Grajales", de Villa Clara en los años 2008-2009.

Assuntos

RESUMO

Se realizó un estudio descriptivo longitudinal y prospectivo en el Hospital Universitario Ginecoobstétrico "Mariana Grajales" de Santa Clara de enero de 2007 a diciembre de 2008, con el objetivo de describir los principales factores relacionados con la morbilidad obstétrica grave. Para la recogida de la información se confeccionó un formulario con las variables de interés a través de la revisión de historias clínicas individuales, de entrevistas a las pacientes y de datos ofrecidos por el departamento de estadísticas del hospital. Se constató que en el periodo del estudio 93 pacientes presentaron morbilidad obstétrica grave. Las principales causas estuvieron relacionadas con la hemorragia con 39,8 % y la preeclampsia 37,6%; la sepsis solo apareció relacionada en un 4,3 %; el parto distócico por cesárea fue un evento obstétrico relacionado directamente con la morbilidad grave y la realización de histerectomías obstétricas. Existe una relación directa entre los resultados maternos y los resultados perinatales en este grupo de pacientes. Se utilizaron los servicios de Terapia intensiva en los casos de extrema gravedad y ocurrieron 4 muertes maternas en estos dos años, se dejaron de vivir un total de 169 años por causas asociadas a la maternidad, y como promedio de años de vida potencialmente perdidos, cada mujer dejó de vivir 42,25 años por dichas causas

A prospective, longitudinal and descriptive study was conducted in "Mariana Grajales" Gynecology-Obstetrics University Hospital from January, 2007 to December, 2008 to describe the major factors related to asevere4 obstetric mortality. For information collection a form was designed including the interesting variables by individual medical records review, by interviews with patients and of data offered by hospital statistic department. We verified that during the study period 93 patients had a severe obstetric mortality. Major causes were related to hemorrhage (39,8 percent) and pre-eclampsia (37,6 percent); sepsis only was related to these causes in the 4,3 percent; dystocia cesarean section labor was a obstetric event related directly to the severe mortality and carrying out of obstetric hysterectomies. There is a direct link among maternal findings and the perinatal ones in this group of patients. Intensive Care Unit services were used in cases critically severe with 4 maternal deaths during these two years with a total of 169 years lost by causes associated with motherhood, and as average of potentially lost life years, each woman lost 42,45 years of life due such causes

Assuntos

RESUMO

Se presentan los resultados preliminares del protocolo de atención a gestantes con riesgos de preeclampsia eclampsia en municipio de Santa Clara, Villa Clara en el período desde noviembre del 2009 a abril del 2010 con el ojetivo de demostrar la incidencia de factores predisponentes de la preeclampsia en un grupo de gestantes de riesgo y las acciones de salud que pueden mejorar la atención prenatal con estos grupos para disminuir la morbilidad y mortalidad asociada a estas entidades...

Assuntos